We are an interdisciplinary team that has led multiple national PRO implementation efforts over the last decade for PRO use in clinical care and research. While our initial work was PRO implementation among older adults with knee and hip arthritis seeking orthopedic care, we extrapolated these methods to PRO collection in non-operative care, shared decision-making, annual wellness visits, and patient self-care. We bring decades of innovation and experience in leading patient-centered data collection to support quality management, accountable care, and research.


  • Patricia has devoted almost three decades to designing and implementing novel methods to translate real world healthcare data to patient-centered care to improve health outcomes. She has designed effective methods to collect patient-reported outcomes (PROs) and social risk data from tens of thousands of patients and integrated these data with clinical data to generate new information to guide personalized treatment decisions. Her leadership in the FORCE-TJR research program was recognized as a model of a learning health system where patient-centered research data informs care. Most of her work has been with aging adults, including people with knee and hip osteoarthritis and total joint arthroplasty. Dr. Franklin has held diverse leadership roles including medical director of health system quality, director of outcomes research training programs for junior faculty and trainees, and principal investigator of multi-site federally funded research studies, including the A.S.K. study and FORCE-TJR, where many of the lessons on this website were refined.


  • Christy is a board-certified healthcare administrator who has spent her career implementing innovative programs to engage patients in participating more actively as a member of the clinical care team. She has created infrastructures to support Medicare ACOs and clinically integrated networks that include nurse coach programs for patients with chronic conditions, support services for annual wellness and transitional care visits, and programs for health maintenance and quality improvement. Christy also participates in a research team studying patient-reported outcomes at the Northwestern University Feinberg School of Medicine. Her role is to develop and manage the operational processes for the successful implementation of PROs. Publications with this team includes Optimizing PROM Implementation in Orthopedic Clinics for Longitudinal Outcome Monitoring: Lessons from a Multisite Study, published in The Joint Commission Journal on Quality and Patient Safety and Translating Clinical and Patient- Reported Data to Tailored Shared Decision Reports with Predictive Analytics for Knee and Hip Arthritis published in Quality of Life Research. Christy’s textbook Reducing Readmissions: A Blueprint for Improving Care Transitions is published under the last name Bond.


  • Martha is a certified health education specialist and a health coach with an MPH in Health Behavior and Health Education from the University of Michigan. She has experience providing health education on topics such as nutrition for managing chronic conditions, smoking cessation, and stress management. Most recently, she led A.S.K. coaching as part of the Arthritis Through Shared Knowledge study at the Northwestern University Feinberg School of Medicine. Martha is also an experienced project manager. In addition to managing operational details, she also helps to bring the patient perspective to projects that she supports.